Individual provider Active NPI

Thomas J Hoffmann, M.D.

  • MOHS-Micrographic Surgery Physician
  • Apple Valley, CA
National Provider Identifier
1306885140
Registry record updated Jul 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
G55138 Issued in CA
Practice address
18095 US Highway 18
Suite D
Apple Valley, CA 92307-2189
Phone
(760) 242-7546
Fax
(760) 242-5599
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X G55138 CA Primary

Addresses

Primary practice location

18095 US Highway 18
Suite D
Apple Valley, CA 92307-2189

Mailing address

18095 US Highway 18
Suite D
Apple Valley, CA 92307-2189
Phone (760) 242-7546

Other identifiers 2

IdentifierTypeStateIssuer
00G551381MedicaidCA
00G551383OtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070619000733 CA Practitioner - Dermatology 0648379446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

29798 Haun Rd
Suite 204
Menifee, CA 92586-6541
Phone (951) 672-3300

Merit-based Incentive Payment System (MIPS)

Final score
96.66 of 100Reported as individual
Quality
99.61
Promoting interoperability
100
Improvement activities
40
Cost
89.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision146
Removal of skin lesions2101
Removal of skin cancer549
Removal or shaving of skin growth1713
Skin biopsy233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G55138CAMDMOHS-Micrographic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Thomas J Hoffmann MD Surgical&Medical Office Inc CurrentSince Aug 24, 2006 Accepting new patients
St. Mary Medical Center Past Accepting new patients

Locations

18095 US Highway 18
Ste D
Apple Valley, CA 92307
Phone (760) 242-7546

18145 US Highway 18
Ste A
Apple Valley, CA 92307
Phone (760) 240-7546

164 W Hospitality Ln
Ste 115
San Bernardino, CA 92408
Phone (909) 886-6904

29798 Haun Rd
Ste 204
Sun City, CA 92586
Phone (909) 886-6904

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406764800000",
    "number": "1306885140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18095 US HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072189",
            "telephone_number": "760-242-7546",
            "fax_number": "760-242-5599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18095 US HIGHWAY 18",
            "address_2": "SUITE D",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072189",
            "telephone_number": "760-242-7546",
            "fax_number": "760-242-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFMANN",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "CA",
            "license": "G55138",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G551381",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "00G551383",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Apple Valley, CA

Sources for this page

Verify at the official NPI Registry.